What is in this leaflet
This leaflet answers some common questions about Irbesat GH.
It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have benefits and risks. Your doctor has weighed the benefits of you taking this medicine against the risks it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with your medicine.
You may need to read it again.
What Irbesat GH is used for
Irbesat GH is used to lower high blood pressure, which doctors call hypertension.
Everyone has blood pressure. This pressure helps get your blood all around your body. Your blood pressure may be different at different times of the day, depending on how busy or worried you are. You have hypertension (high blood pressure) when your blood pressure stays higher than is needed, even when you are calm and relaxed.
There are often no symptoms of high blood pressure. The only way of knowing that you have high blood pressure is to have your blood pressure checked on a regular basis.
If high blood pressure is not treated it can lead to serious health problems, such as stroke, heart disease and kidney failure. Irbesat GH is also used in the treatment of kidney disease in patients with high blood pressure and type 2 diabetes.
How Irbesat GH works
Irbesat GH belongs to a group of medicines known as angiotensin-II receptor antagonists.
Angiotensin II is a substance produced in the body that causes blood vessels to narrow. Irbesat GH blocks angiotensin-II and therefore widens your blood vessels, making it easier for your heart to pump blood throughout your body. This helps to lower your blood pressure.
Irbesat GH also slows the decrease of kidney function in patients with high blood pressure and type 2 diabetes.
Your doctor may have prescribed Irbesat GH for another reason. Ask your doctor if you have any questions about why Irbesat GH has been prescribed for you.
This medicine is only available with a doctor's prescription.
There is no evidence that this medicine is addictive.
Before you take Irbesat GH
When you must not take it
Do not take Irbesat GH if:
- you are pregnant (or think you may be pregnant) or are planning to become pregnant. Irbesat GH may affect your developing baby if you take it during pregnancy.
- you are breast-feeding. It is not known if Irbesat GH passes into breast milk, therefore it is recommended that you not take it while you are breast-feeding.
- you are allergic to irbesartan or to any of the ingredients listed at the end of this leaflet.
- the packaging is torn or shows signs of tampering.
- the expiry date on the pack has passed. If you take this medicine after the expiry date has passed, it may not work.
If you are not sure if you should start taking Irbesat GH, talk to your doctor.
Irbesat GH should not be given to children.
Before you start to take it
Tell your doctor if you have any allergies to:
- any of the ingredients listed at the end of this leaflet, including lactose;
- any other medicines;
- any other substances, such as foods, preservatives or dyes.
Tell your doctor if you are pregnant or intend to become pregnant.
Tell your doctor if you are breastfeeding or plan to breastfeed.
Tell your doctor if you have or have had any medical conditions, especially the following:
- recent excessive vomiting or diarrhoea;
- any kidney or heart problems,
- liver problems, or have had liver problems in the past;
- you are strictly restricting your salt intake.
Tell your doctor if you plan to have surgery (even at the dentist) that needs a general anaesthetic.
If you have not told your doctor about any of the above, tell them before you take Irbesat GH.
Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines may affect the way others work. Also, some other medicines used to treat high blood pressure may have an additive effect with Irbesat GH in lowering blood pressure. This may happen with diuretics (fluid tablets). As a result you may need different amounts of your medicines.
It may be necessary to have blood tests done regularly if you take potassium supplements, potassium containing salt substitutes or some medicines such as diuretics (fluid tablets).
It may also be necessary to have blood tests done regularly if you take a medicine containing lithium while you are taking Irbesat GH.
Your doctor and pharmacist may have more information on medicines to be careful with or avoid while taking Irbesat GH.
How to take Irbesat GH
How much to take
Your doctor will tell you how many tablets to take each day.
Usually patients start with one 150 mg tablet once a day. However, some patients may need a lower starting dose. Your doctor will tell you if this is necessary. The full blood pressure lowering effect of Irbesat GH should be reached about 4-6 weeks after starting treatment.
Depending on how your blood pressure responds, your daily dose of Irbesat GH may need to be increased. Most patients take either 150 mg or 300 mg each day.
In patients with high blood pressure and type 2 diabetes, 300 mg once daily is the preferred maintenance dose for slowing the progression of associated kidney disease.
Ask your doctor or pharmacist if you are unsure of the correct dose for you.
They will tell you exactly how much to take.
Follow the instructions they give you.
How to take it
Swallow the tablet whole with a glass of water.
It does not matter whether you take Irbesat GH tablets before or after food.
When to take it
Take Irbesat GH at about the same time each day.
Taking your tablets at the same time each day will have the best effect. It will also help you remember when to take the tablets.
How long to take it
Continue taking Irbesat GH until your doctor tells you to stop.
Irbesat GH helps to control your high blood pressure, but it does not cure it. Therefore Irbesat GH must be taken every day.
To help you remember to take your tablets each day, Irbesat GH tablets are supplied in a calendar pack with the foil backing marked with the days of the week. This is just a way to help you to remember to take your tablets. All of the tablets in the pack are the same.
When you start a new strip of tablets, take the tablet marked "START" at the end of the blister strip. On the next day, take the tablet marked with the relevant day of the week.
Continue taking your tablets each day until all of the tablets are taken. Commence the next strip at "START" and continue as before.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and go back to taking your tablets as you would normally.
Do not take a double dose to make up for the dose you missed.
This may increase the chance of you getting any unwanted side effects.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your tablets, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or Poisons Information Centre (telephone: 13 11 26) or go to Accident and Emergency at your nearest hospital, if you think that you or anyone else may have taken too much Irbesat GH. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
If you take too many Irbesat GH tablets you will probably feel light-headed or dizzy.
While you are using Irbesat GH
Things you must do
Tell any other doctors, dentists, and pharmacists who are treating you that you are taking Irbesat GH.
If you become pregnant while taking Irbesat GH tell your doctor immediately.
Have your blood pressure checked when your doctor tells you to, to make sure Irbesat GH is working.
If you are about to be started on any new medicine, tell your doctor and pharmacist that you are taking Irbesat GH.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are taking Irbesat GH.
Your blood pressure may drop suddenly.
Make sure you drink enough water during exercise and hot weather when you are taking Irbesat GH, especially if you sweat a lot.
If you do not drink enough water while taking Irbesat GH, you may faint or feel light-headed or sick. This is because your body does not have enough fluid and your blood pressure is low. If you continue to feel unwell, tell your doctor.
If you have excessive vomiting and/or diarrhoea while taking Irbesat GH, tell your doctor.
You may lose too much water and salt and your blood pressure may drop too much.
If you feel light-headed or dizzy after taking your first dose of Irbesat GH, or when your dose is increased, tell your doctor immediately.
Things you must not do
Do not give Irbesat GH tablets to anyone else, even if they have the same condition as you.
Do not take Irbesat GH to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop taking Irbesat GH, or lower the dosage, without checking with your doctor.
Things to be careful of
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly.
Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position and blood pressure. If this problem continues or gets worse, talk to your doctor.
Be careful driving or operating machinery until you know how Irbesat GH affects you.
As with many other medicines used to treat high blood pressure, Irbesat GH may cause dizziness or light-headedness in some people.
If this occurs do not drive.
Make sure you know how you react to Irbesat GH before you drive a car, operate machinery or do anything else that could be dangerous if you are dizzy or light-headed.
If you drink alcohol, dizziness or light-headedness may be worse.
Things that would be helpful for lowering your blood pressure
Some self help measures suggested below may help your condition. Talk to your doctor or pharmacist about these measures and for more information.
- Alcohol - your doctor may advise you to limit your alcohol intake.
- Weight - if you are overweight, your doctor may suggest losing some weight to help lower your blood pressure and help lessen the amount of work your heart has to do. Some people may need a dietician's help to lose weight.
- Diet - your doctor may advise you to eat a healthy low-fat diet which includes plenty of fresh vegetables, fruit, bread, cereals and fish.
- Salt - your doctor may advise you to watch the amount of salt in your diet. To reduce your salt intake you should avoid using salt in cooking or at the table.
- Exercise - regular exercise helps to reduce blood pressure and helps get the heart fitter, but it is important not to overdo it. Walking is good exercise, but try to find a route that is reasonably flat. Before starting any exercise, ask your doctor about the best kind of program for you.
- Smoking - your doctor may advise you to stop smoking or at least cut down.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Irbesat GH.
Irbesat GH helps most people with high blood pressure, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
- dizziness or light-headedness (vertigo),
- unusual tiredness or weakness,
These are common side effects. They are generally mild and do not normally require treatment to be interrupted.
Tell your doctor immediately if you notice any of the following:
- skin rash or itchiness,
- aching muscles, not caused by exercise,
- muscle pain or weakness,
- buzzing, ringing or other persistent noise in the ear,
- yellowing of the skin and/or eyes, also called jaundice,
- symptoms that may indicate kidney disease, such as passing little or no urine, drowsiness, nausea, vomiting, breathlessness, loss of appetite and weakness,
- symptoms that may indicate high potassium levels in the blood, such as nausea, diarrhoea, muscle weakness, change in heart rhythm,
- symptoms that may indicate liver disease such as nausea, vomiting, loss of appetite, feeling generally unwell, fever, itching, yellowing of the skin and eyes and dark coloured urine.
These are serious side effects. Skin rash and itchiness may be symptoms of an allergic reaction. You may need medical attention.
These side effects are not common.
If any of the following happen, stop taking Irbesat GH and either tell your doctor immediately or go to Accident and Emergency Department at your nearest hospital:
- swelling of the face, lips, tongue or throat which may cause difficulty in swallowing or breathing;
- severe and sudden onset of pinkish, itchy swellings on the skin, also called hives or nettlerash.
These are very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare.
Other side effects not listed above may occur in some patients. Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
After using Irbesat GH
Keep your Irbesat GH tablets in the blister pack until it is time to take them.
If you take the tablets out of the blister pack they may not keep well.
Keep Irbesat GH tablets in a cool dry place where the temperature stays below 25°C.
Do not store Irbesat GH or any other medicine in the bathroom or near a sink. Do not leave them near a radiator, in a car on hot days or on a window sill.
Heat and dampness can destroy some medicines.
Keep all medicines out of the reach of children.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking Irbesat GH or the tablets have passed their expiry date, ask your pharmacist what to do with any tablets that are left over.
What it looks like
- IRBESAT GH 75 mg tablets are white to off-white, oval and biconvex film-coated tablets, debossed with "L172" on one side and "75" on the other side. Available in blister packs of 30 tablets.
- IRBESAT GH 150 mg tablets are white to off-white, oval and biconvex film-coated tablets, debossed with "L173" on one side and "150" on the other side. Available in blister packs of 30 tablets.
- IRBESAT GH 300 mg tablets are white to off-white, oval and biconvex film-coated tablets, debossed with "L174" on one side and "300" on the other side. Available in blister packs of 30 tablets.
Irbesat GH tablets also contain
- Croscarmellose sodium
- Magnesium stearate
- Opadry II complete film coating system 30F58652 white (ARPING 107860 consisting of hypromellose, macrogol 4000, titanium dioxide).
Australian Registration Numbers
- Irbesat GH 75 mg: AUST R 192808
- Irbesat GH 150 mg: AUST R 192815
- Irbesat GH 300 mg: AUST R 192802
Generic Health Pty Ltd
Suite 1, 1175 Toorak Road
Camberwell VIC 3124
This leaflet was prepared in October 2012.